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Total knee replacement in severe genu varum deformity

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Interactive Surgery

Abstract

In patients with osteoarthritis (OA) and severe osseous deformity of the knee, total knee replacement (TKR) is a major challenge. If the preoperative deformity exceeds 15°, restoration of the correct mechanical alignment will be difficult to achieve. In the management of medial compartment OA associated with a deformity of more than 15°, there is no agreement on the policy to adopt. The first step to be taken is a detailed analysis of the deformity, to determine where it is articular (wear, laxity) or extra-articular (constitutional or acquired bony deformity). The options open to the surgeon are: isolated valgus osteotomy (with TKR at a later stage), TKR or one-stage opening-wedge tibial valgus osteotomy and TKR. This chapter examines the different options and describes the authors’ preferred strategy.

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Authors and Affiliations

  1. Centre Livet, 8, rue de Margnolles, F-69300, Caluire, France

    P. Neyret, S. Lustig, O. Guyen & T. Aït Si Selmi

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  1. P. Neyret
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  2. S. Lustig
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  3. O. Guyen
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  4. T. Aït Si Selmi
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Correspondence to P. Neyret.

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Neyret, P., Lustig, S., Guyen, O. et al. Total knee replacement in severe genu varum deformity. Interact Surg 3, 6–12 (2008). https://doi.org/10.1007/s11610-007-0039-1

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  • DOI: https://doi.org/10.1007/s11610-007-0039-1

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